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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could The Pubic Symphysis Lesion Be Sarcoid Or Bone Cancer?

hi I have sarcoidosis, and had my spleen removed due to the sarcoid..I was on prednisone for 2 months and it helped clear the lesions on my lungs and Liver, redid a pet scan it showed the lesion on my pubic symphasis has metabolic action increase fromb 6.9 to 8.5. what do you recomend I should do? do you think it is sarcoid or bone cancer
Tue, 25 Nov 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion you should get done biopsy from the pubic symphisis region.
Sarcoid is an inflammatory lesion. So on PET scan it will show positive (hot spot).
And malignant spread will also give positive uptake on PET SCAN.
So if PET scan shows positive result on pubic symphisis than it can be due to either sarcoid or malignant spread.
So to rule out between these two biopsy is must. And only biopsy will confirm the diagnosis. So better to get done biopsy from pubic symphisis lesion.
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Could The Pubic Symphysis Lesion Be Sarcoid Or Bone Cancer?

Thanks for your question on HCM. In my opinion you should get done biopsy from the pubic symphisis region. Sarcoid is an inflammatory lesion. So on PET scan it will show positive (hot spot). And malignant spread will also give positive uptake on PET SCAN. So if PET scan shows positive result on pubic symphisis than it can be due to either sarcoid or malignant spread. So to rule out between these two biopsy is must. And only biopsy will confirm the diagnosis. So better to get done biopsy from pubic symphisis lesion.